Active NPI
Nova Diagnostic Inc
- Clinical Medical Laboratory
- Granada Hills, CA
National Provider Identifier
1326393059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- NOVA DIAGNOSTIC INC
- Practice address
- 17404 Horace St
Granada Hills, CA 91344 - Phone
- (818) 497-3476
- NPI assigned
- Jul 18, 2012
- Last updated
- Oct 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristina Aleksanyan
- Title
- Office Manager
- Phone
- (818) 497-3476
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| EEG Technician | 2472E0500X | |||
| Clinical Medical Laboratory | 291U00000X | Primary | ||
| Sleep Specialist (PhD) | 173F00000X |
Addresses
Primary practice location
17404 Horace St
Granada Hills, CA 91344
Mailing address
12918 Sherman Way
130
North Hollywood, CA 91605-4953
Phone (818) 497-3476
National Provider Directory
National Provider DirectoryLocations
12918 Sherman Way
#130
North Hollywood, CA 91605
Phone (818) 497-3476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412294400000",
"number": "1326393059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12918 SHERMAN WAY",
"address_2": "130",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916054953",
"telephone_number": "818-497-3476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17404 HORACE ST",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "91344",
"telephone_number": "818-497-3476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA DIAGNOSTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-18",
"last_updated": "2014-10-03",
"status": "A",
"authorized_official_last_name": "ALEKSANYAN",
"authorized_official_first_name": "KRISTINA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "818-497-3476"
},
"taxonomies": [
{
"code": "2472E0500X",
"taxonomy_group": "",
"desc": "Technician, Other, EEG",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
},
{
"code": "173F00000X",
"taxonomy_group": "",
"desc": "Sleep Specialist, PhD",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granada Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.